<div class="page">
  <header class="bar bar-nav shop-header">
    <a data-dismiss="push" class="icon icon-left pull-left"></a>
    <h1 class="title">{{title}}</h1>
  </header>

  <div class="content">
    <div class="content-block">
      
      <form>
        <p style="font-size: .65rem; margin-bottom: .25rem;">请填写{{title}}</p>
        <div style="margin-bottom: .75rem; width: 100%; background: #ffffff; font-size:.7rem;">
          <textarea rows="7" style="width: 100%;padding: .25rem; height: auto; border: none;" placeholder="{{placeholder}}"></textarea>
        </div>
        <button id="submit" class="button button-fill button-success button-big button-block" style="background: #FEDC32; color: #000;">确定</button>
      </form>
    </div>
  </div>
</div>